Children with Cerebral Palsy: A Parent's Guide（作者 Elaine Geralis ） 选段2

Chapter 4: Daily Care Exercise（2）
Ideally, you will be able to make your child's exercise a part of your daily routine by incorporating it into such activities as diapering, dressing, and feeding. Your child's occupational and physical therapists can give you specific tips on how to do this. But here are two general guidelines:1) Place objects far enough away from your child that he needs to reach for them or crawl to them. For example, if you are working a puzzle with your child, don't simply hand him the pieces. Let him pick them up (or try to pick them up) from the table or tray. 2) Encourage your child to do all the physical activities he is capable of, even if it sometimes seems easier for you to do them. For example, if your child has the movement skills to put his blocks away in his toy chest but takes a very long time to do it, try not to get impatient and do it for him.

In addition to fitting exercise into their child's daily routine, some parents of children with cerebral palsy enroll their children in formal physical fitness programs. Gym classes, movement experiences, and other programs for young children are blossoming, and many are quite receptive to children with special needs. It is not essential that you find a program with a staff trained in dealing with children with special needs, although you will want to have the help and cooperation of the instructor. Generally, it will be up to you to apply the correct principles of reducing or increasing muscle tone and encouraging normal movement as you assist your child. Your physical or occupational therapist can tell you whether your child might benefit from any program you are considering.

As your child grows older, it becomes increasingly important for his exercise routine to include outdoor activities. Walks in the stroller or in a backpack are good ways to provide opportunities for fresh air and learning about the world outside the house. Just spending time lying or sitting on the grass while parents do yard work can be a very special event. Birds, trees, flowers, and outdoor smells and sounds are all food for developing sensory systems. Your child may also enjoy rides on the back of your bicycle if you take the proper precautions. Because your child may make involuntary movements when riding on a bicycle or may shift his weight in ways that make it hard for you to keep your balance, always make sure that your child wears a helmet and that his seat provides him maximum support.



Reference：The book “Children with Cerebral Palsy: A Parent's Guide”

译：
第四章：日常康复练习（2）
理想来说，你可以通过将你孩子的练习融入到一些类似于换尿片、穿戴、和喂养的活动中去使其成为日常生活中的一部分。你的职业治疗师与物理治疗师关于如何实行这件事应当能给你明确详细的技巧指导，但是这里有两条大体的指导方针：1）将物品放置在离你的孩子足够远的地方，需要他（她）伸展或是爬行才能拿得到。比如，如果你正在和你的孩子玩拼图，不要仅仅简单地将拼图块递给他（她），让他（她）自己从桌上或者托盘里将它们捡起来（或至少尝试着去捡起来）。2）鼓励你的孩子去做一切他（她）力所能及的活动，即使有时看起来似乎你替他们做会更容易些。比如，你的孩子有足够的运动能力去把积木收进玩具箱中但是这需要花费很长的时间，试着不要因为不耐烦从而代替他（她）做这件事。

除了将练习带入孩子们的日常生活中外，一些脑瘫孩子的家长让他们的孩子参加了一些正规的肌力与体能训练。体育课程，运动体验，还有其它为幼儿所开设的活动项目正在蓬勃发展，并且很多都能够接纳有特殊需求的孩子。你并不一定要寻找一个拥有受过专业训练来应对有特殊需求孩子的员工的活动项目，即使你会希望得到指导老师的帮助与协作。一般来说，当你辅助你的孩子时，你自己才是决定能否运用正确的操作方法来降低或者增加肌肉张力并鼓励孩子正常运动的那个人。而你的物理治疗师与专业治疗师所能做的就是告诉你你的孩子可能会从你考虑的哪些项目中受益。

当你的孩子长大了一些后，将户外活动包括到他（她）的日常练习中去就变得越发重要了。在手推车或背袋中一起散步是非常好的方式，可以提供呼吸新鲜空气与学习房屋外面的世界的机会。当父母在庭院里忙活的时候，仅仅躺在或者坐在草地上就可以成为一种非常特殊的活动。鸟儿，树木，鲜花，还有户外的各种气味与声音都是良好的发展感官系统的养料。如果你采取了良好的预防措施，那么你的孩子或许也会很享受骑在你的自行车后座外出兜风。因为当坐在自行车上的时候，你的孩子可能会做出一些无意识的动作或是改变他的重心以至于你坑那个会很难维持平衡，所以无论何时都一定要确保你的孩子带着头盔并且后座提供了最大的支撑。



出处：书籍《Children with Cerebral Palsy: A Parent's Guide》